OrganizationActive
Deaconess Specialty Physicians, Inc
NPI 1174295224 · Interventional Cardiology Physician · Carmi, IL
Provider details
- NPI number
- 1174295224
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Wathen, Secretary-Treasurer(812) 450-3296
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1103 W Main St
Carmi, IL 62821-1380
Phone: (618) 842-4617
Fax: (618) 380-4565
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1230
Evansville, IN 47706-1230
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2021-09-28
- Certified
- 2021-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.